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. <br /> � G ity c�f U ro n o 1�7� �''a''������� <br /> Zoning Permit A NMcafi�on <br /> �� • _ Maifing Address: <br /> I'ermit number: �l�—� <br /> l�t/� Pb Box 66 D�;te r+�t�iv�d: �� <br /> ' V Crystal Bay, MN 55323-QQ66 <br /> Escrow#and <br /> Street Address= amount: � <br /> � <br /> ,�, 2750 Kelley Partcway Permit Fee: <br /> � ti Orono, MN 55356 <br /> �{ �,�' Approved by: <br /> q'�CS N�� Fax: 952-249�4616 �p��; <br /> Main: 952-249-4600 �•ci.orono.mn.us <br /> „ <br /> This appli�ati�n form must be complet�d in full�nd all required infotmation must b� mitted.;{�/easr�.prirtt.} <br /> Jdb Site Add�ess: �o �� s� � <br /> C�N'TRACTOR/APPLIC NT INFORMATIQN: <br /> Name: ��S'�:�/�/._'.",t����/�� <br /> Phone: - �' - � Fax: <br /> Address- �Q� iC! �/f Cit : d /�Jd� F ZfP: <br /> Con#act Persvn: Contact's phon<e�►r u�nbe��'''�,� �-..��"��"C� <br /> �mail �OUt�I/� ,�,,� ��7 � �Q,p qpplicant is: �ontractor Homeowner eci.cioonc� <br /> a L'4!I�'� �"'"`�� <br /> PROPERTY OWNER INFORMATION: <br /> Name: � %� <br /> Phone(day): Q •— � � <br /> Mailing Address; ,�y�j� �fP: <br /> Email and/or Fax <br /> Uverall I�roject Description: �4d1� �J�i� �1^�i�/�1.� G'!1/q��� <br /> Check TXP� OP P��2MIT <br /> Box �Q$�� <br /> Dock, Residenti�l�-Perman�nt dvck on any lake ar ir�iti�f seasonal dock not an $50 +engineering review costs <br /> Lake Mirtnetpnka ermanent dock re uires CUP <br /> dvck, Commercial $50+engineering review cos�ts <br /> Escrow far erosion control and en ineerin review costs $2,000 <br /> Hardcover Rermit: Driveway, Patio,Sidewalk, Etc. (New or Replacement) No ch�rge <br /> Also re uired is a Minor or Ma�or Land Alteration P�rmit <br /> Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards or $50 <br /> more than 10 cubic yards in lakeshore setback(also requires CUf�) <br /> Escraw f�or erosion control and en ineerin review Gosts As determined b CUP <br /> �.and Alterat�on, Mpnor(grading, filling or excavating)--500 or I�ss cubic yards $50+ engineering review costs <br /> ou#side of lakeshore setback or less than 10 yards in lakeshore setbaak <br /> Escrow for erosion control and en ineer�n review costs $2,000 <br /> Re#aining Wall measuring u�der f�our�Feefi require a zoning permit. $50+engineering review costs <br /> R�taining wafls measuring mnre th�n four feet(from bot�om of footings to top of <br /> wall) require a building permit_ (Tiered retaining walls are considered one wal) <br /> unless the walls are separated by twice the height of the lAwer w�ll.) <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> Stairway#o L�ke(New vr Repl�c�rl7ent,) $50�-engineering review costs <br /> Escrow for erosion control and engineering revi�w costs $2,Q00 ` <br /> Structure Permit for other structures not requiring a buifding permit but $50+engineering review casts <br /> regulated by the zoning code(including, but not limited to accessory building of <br /> less than 120 square feet, detached deak or platForm 2�nd 5park caurt) <br /> Escraw for erosion control and en ineerin review costs $2 500 <br /> Tree RemavaM or ot�er ve etat�on removal in 0 to 75 favt zone No char e. <br /> �'em o�ra COI1g��UCk1011 CNfpCBITP��I�� associated with buildin e�mit �30 <br /> (over) <br /> �`PQrmpt fee will be collecte�d wk�en th� permAt Ns,issued, <br /> Updated: November 30,2012 <br />